Active NPI
Eric M Ramos Malpica, PA
- Physician Assistant
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA60794472
- Practice address
- 9930 Evergreen Way Ste Z150
Everett, WA 98204-3889 - Phone
- (425) 347-5121
- Fax
- (425) 353-6425
- NPI assigned
- May 17, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA60794472 | WA | Primary |
Addresses
Primary practice location
9930 Evergreen Way Ste Z150
Everett, WA 98204-3889
Mailing address
PO Box 50095
Seattle, WA 98145-5095
Phone (206) 520-5700
Other practice location 1
11812 N Creek Pkwy N Ste 202
Bothell, WA 98011-8202
Phone (425) 287-5500
Other practice location 2
2322 196th St SW
Lynnwood, WA 98036-7010
Phone (425) 672-7293
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083061352 | Medicaid | WA | |
| 2088767 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11812 N Creek Pkwy N
Suite 202
Bothell, WA 98011-8202
Phone (425) 287-5500
8212 S March Point Rd
Anacortes, WA 98221-8684
Phone (360) 588-2800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swinomish Health Services | Past | Accepting new patients | |
| Prime Care PLLC | Past | Accepting new patients |
Interoperability endpoints
- eric.ramosmalpica@3394.securemail.prognocis.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Renton, WA
- NPI 1740768258
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Anacortes, WA
- NPI 1134632599
TX
-
- Primary Care Clinic/Center
- Lakewood, WA
- NPI 1972735157
-
- Internal Medicine Physician
- Bothell, WA
- NPI 1578035200
-
- Substance Abuse Rehabilitation Facility
- Anacortes, WA
- NPI 1710182787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1083061352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50095",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981455095",
"telephone_number": "206-520-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9930 EVERGREEN WAY STE Z150",
"city": "EVERETT",
"state": "WA",
"postal_code": "982043889",
"telephone_number": "425-347-5121",
"fax_number": "425-353-6425"
}
],
"practiceLocations": [
{
"address_1": "11812 N Creek Pkwy N Ste 202",
"address_purpose": "LOCATION",
"city": "Bothell",
"state": "WA",
"postal_code": "980118202",
"country_code": "US",
"telephone_number": "425-287-5500",
"fax_number": "425-287-6440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2322 196th St SW",
"address_purpose": "LOCATION",
"city": "Lynnwood",
"state": "WA",
"postal_code": "980367010",
"country_code": "US",
"telephone_number": "425-672-7293",
"fax_number": "425-329-4640",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAMOS MALPICA",
"first_name": "ERIC",
"middle_name": "M",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-17",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA60794472",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1083061352",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2088767",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.